Inspection on 27/09/05 for East View Residential Home

This inspection was carried out on 27th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

East View Residential Home 22/08/07

East View Residential Home 23/08/06

East View Residential Home 05/01/06

East View Residential Home 14/07/04

East View Residential Home 03/11/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE East View Residential Home 406 London Road South Lowestoft Suffolk NR33 0BH Lead Inspector Claire Hutton Announced Inspection 27th September 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service East View Residential Home Address 406 London Road South Lowestoft Suffolk NR33 0BH Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01502 565442 01502 565442 Mr Dennis Jarvis Mr Dennis Jarvis Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2004 Brief Description of the Service: East View Residential Home is a residential property in South Lowestoft. The current owner/manager took over the home in 1989 as a going concern. Since then it has had a number of extensions and environmental upgrading and is now registered to provide personal care for 14 older people. Six residents individual rooms are on the ground floor and the others are on the first floor. Rooms are either available with en-suite or a wash hand basin. The home provides 11 single bedrooms and 2 double bedrooms. There are two stair lifts to the first floor. There is a small garden around the property. There is parking available in the streets close to the home. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on a weekday in September and lasted for 6 hours. All residents were seen and two were spoken with in private. Five staff were spoken with and three of these were in private. The registered manager Mr Jarvis was present through most of the inspection and received feedback upon completion of the visit. All communal areas of the home were looked at and three bedrooms were visited. Records examined included the current roster in use, staff recruitment, supervision and training records; care plans and associated records and a record of accidents. No comment cards had been received upon this service, therefore the manager agreed to promote and distribute them more widely to elicit feedback. What the service does well: What has improved since the last inspection? Environmental upgrade has continued with rooms 2 and 14 being redecorated and newly carpeted. The lounge has been redecorated. In the kitchen new equipment had been purchased to replace items such as hobs, cookers and deep fat fryer. In relation to staff recruitment, records were more in order and every member of staff had a CRB in place. Staff were either doing TOPPS induction or had a place on it. Four staff were due to start NVQ 2 and 2 staff were currently doing NVQ3. Four requirements made from last time were actioned. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3 People who use this service can expect to have their needs assessed and a contract provided, but cannot currently be assured that information available about the home is as up to date as it could be. EVIDENCE: The home do have a Statement of Purpose and Service Users Guide available to give to residents and those wanting to know more about the home. Previously the home had been asked to clearly state in the statement of purpose who the registered manager was as they refer to this role in the complaints procedure and the correct telephone number of the CSCI in the same document. The manager had been looking at revising the statement of purpose and service users guide and replacing it with a glossy type brochure that will clearly meet all the regulation required. He was still in the process of upgrading information, but agreed to get on to this promptly and lodge a copy with the CSCI. Three residents were tracked in terms of their contracts and each of these had a set contract with local authorities. An assessment and information about care needs for the newest person to the home was examined. This was East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 9 produced by a social worker and was supplemented with discharge information from the local hospital. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 10 and 11 People who use this service can expect to be cared for by people who know them and their needs well. However, they cannot be assured that care needs are recorded in detail. EVIDENCE: Care plans, daily statements and all other records for three residents were examined. The home has chosen to use a set printed care plan format that meets all the standards. Most of the plan was completed and there was evidence of regular review and changes to how staff cared for residents. However, there were sections of the plan that were not completed, but staff and manger tended to know the information e.g. medical history of a resident. There was a section on nutritional assessment that asked for weight and height of the resident to work out the body mass index. This was not completed, nor was the running monitoring of weight in some instances. There was a sense that the new care plans have not been fully adopted with regard to how care staff work, because some sections were not completed, but rather a different format used and called a daily care plan because ‘we’ve always done that’, explained the deputy. Care staff spoken to knew residents well and those who had been off duty were up to date with any changes. Residents spoken with were asked if staff knew their individual care needs and East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 11 they answered positively. Residents spoke highly of care staff and found them attentive to their care needs and said they were mindful of their privacy and dignity when giving personal care. Staff were observed to ensure privacy of one resident when using the bathroom and were seen to knock on bedroom doors and wait for a reply. Residents spoken with felt their healthcare needs were well catered for and were pleased to be accompanied to appointments by the manager. The previous day one resident had an appointment made at short notice at the local hospital for an ECG. The home ensured that this was attended and subsequent medication changes implemented with a new prescription filled and then administered. The resident said they were feeling better and their appetite had improved since the weekend. The home had a regular private chiropodist and optician who visited. One resident needed to visit a dentist and the manager agreed to arrange this. The details of a registered dentist were not seen in care plans. During the visit a query was made about the mobility equipment used by two residents. At the end of the inspection the manager and deputy had arranged for the two people to be re assessed by appropriate professionals. Care plans contained individual’s details and wishes in the event of their death. There had been a recent death at the home and flowers of remembrance were in the lounge for residents to see. Staff spoke respectfully about the individual who had died. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 People who use this service can expect to have their daily routines respected and be presented with a choice of traditional home style cooking. EVIDENCE: Two residents spoken with said that their preferred daily routines were known by care staff and respected. Individual routines were known and seen to be observed by care staff. One resident chose to get up late and sometimes have breakfast late and miss lunch. The choice to do this was respected. Choice about lunch and menu was also encouraged and respected. Care staff went around the home before lunch to ask about preference of meal. Lunch was taken with the 8 residents, 3 staff and manager in the dining room. Three residents had chosen to eat in their rooms. The dining room had a pleasant atmosphere with table clothes, mats and condiments laid out and a choice of soft drinks available. One resident was assisted to each their meal by a staff member, who did so in a thoughtful measured way. Lunch was a roast dinner as per the menu plan. Roast turkey with roast potatoes, Yorkshire pudding, carrots, cauliflower, boiled potatoes and gravy and cranberry sauce. One resident said there is always plenty of gravy, which helps her, eat the meal. The quantities of food were good and the flavour and cooking was excellent. For dessert there was a choice of strawberry flan, cream, fresh fruit East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 13 and ice cream or any combination. All the residents and staff appeared to enjoy the meal. A copy of the menu (2 weeks rotation) was available and a copy given to the inspector. Any variation from the menu was recorded each day and individual residents dietary intake was noted in their daily statement by staff. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service can expect to have concerns, complaint and protection matters taken seriously and dealt with. EVIDENCE: The complaints procedure is part of the Service Users Guide available to residents and their families. Also a copy of this is displayed for anyone visiting the home in the entrance hall. Whilst there Mr Jarvis, manager/owner corrected the details of the CSCI and ensured the correct details were available to everyone. Earlier in the year one complaint had been made. This was investigated satisfactorily by the home and was not upheld. The home has a procedure on protection of vulnerable adults. This is the one published by Suffolk Social Services. The copy at the home was the older version and a new updated copy is available. Whist at the home Mr Jarvis tried to obtain a copy and agreed to ensure a revised copy is available to all staff. Care staff are trained in this policy as part of their TOPPS induction as all staff go to Kerrison, which is part of Suffolk Social Care Services. One member of care staff confirmed she had received this training. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21,24 and 26 People who use this service can expect to have a comfortable home that is generally well maintained. EVIDENCE: At East View there is a large L shaped lounge area that overlooks the garden and London Road South, so that residents can sit and watch the world go by. On the day several residents were in the lounge chatting and listening to music. In the afternoon they were watching a western on the television. The lounge has been recently redecorated in pale blue wallpaper that looks very nice and professionally done. The dining room is toward the back of the home and had sufficient tables that accommodate 4 people each and plenty of chairs for all the resident group to eat together if they so wished. The dining room has a hatch to the kitchen for staff and residents to talk to the cook and pass hot meals through. The kitchen is sufficiently equipped. There has been new equipment purchased to replace items such as hobs, cookers and deep fat fryer. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 16 Close to the lounge there are 2 toilets and an assisted bath and toilet. On the first floor there is a bathroom and toilet and a sluice room. On the ground floor there is a well-equipped laundry room and a treatment room at the front of the home that accommodates GP District Nurse and hairdresser who calls every Saturday morning. Bedrooms 2 and 14 have recently being redecorated and newly carpeted. One bedroom visited had an odour of urine and the occupant had chosen a recliner armchair to both sit and sleep in. There was no bed as an alternative to sleep in if the resident changed her mind. The resident expressed a wish to have a bed and the owner agreed to put a bed back in her room. All other parts of the home visited were clean and odour free. The home was sufficiently warm and individuals were able to ventilate rooms, as they needed to. The home was generally in a good state of repair, save some minor matters such as 2 broken toilet roll holders and an en-suite window that had plaster coming away from the window, also 6 broken tiles in the kitchen floor. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30 People who use this service can be confident that there will be sufficient staff on duty that are generally well recruited, supervised and trained. EVIDENCE: Four care staff including the deputy were spoken with in private. All said they were extremely happy at the home. Care staff work well as a team and are supportive of one another and the manager. The home uses a rotational roster and the current month in use was examined. The home uses no agency or bank staff; staff cover for each other’s absence. There are 2 care staff on at all times during the day and one awake with one person sleeping in at night. The deputy manager tends to work 9 – 5 Monday to Friday, but does cover care shifts if needed. Staff spoken with know residents very well, as some residents have been there for several years. Residents spoken with liked all the care staff and thought them to be attentive to their needs. Staff are supported in training and are committed to NVQ. Staff were either doing TOPPS induction or had a place on it. Four staff were due to start NVQ 2 and 2 staff were currently doing NVQ3. Staff files contained evidence of training and one member of staff confirmed she had received training in health and safety, first aid, fire, manual handling as well as shorter courses on continence awareness and eye care and diabetes. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 18 In the three staff files examined there was evidence to show staff receive regular formal supervision and this led on to appraisals. Two staff were in the process of self-appraisal. Three staff recruitment files were examined. There was evidence of application, interview, and two references taken. All staff had an enhanced CRB (criminal records bureau) check taken. There was evidence that staff had received a copy of their job description. There was no copies of staff identification including a photograph. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36 and 38 People who use East View can expect that the home will be generally well managed. EVIDENCE: The owner/manager is Mr Dennis Jarvis. He is well liked by both staff and residents and everyone spoken with felt he was approachable. ‘He is a kind man’ was said more than once. Someone else said ‘he’s nicely laid back’. During the inspection Mr Jarvis was helpful and responsive to matters discussed and indeed solved some matter before the end of the inspection. Mr Jarvis is currently studying his NVQ 4 in care and the Registered Managers Award. He intends to complete this by December 2005. There are plans in place around succession management and the deputy when she has completed her NVQ 3 will go on to do her NVQ 4. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 20 The environment at East View has been altered to ensure safety is safe guarded. The stairs have 2 stair lifts for residents to use. Notices of safe use are posted and risk assessments are in individuals care plans. Radiators through out the home have covers to prevent burns. Hot water is regulated and a record to show regular monthly checks were undertaken was seen. Equipment such as hoists were seen to be regularly serviced, as were the fire extinguishers. Recent changes had been made to where a boiler was housed, 6 fire doors were wedged open and a self closer on a door appeared not to close. It was decided that the CSCI would ask the fire service to visit the home and offer specific advice around fire prevention matters. The fax machine at the home had been moved upstairs and was no longer working. Mr Jarvis agreed ensure it was working and thought this may be achieved by moving it downstairs again. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 3 X X 2 X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 X 2 East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4 (1)(c) Requirement Changes to the homes Statement of Purpose and Service User Guide identified in previous reports must be implemented and a copy of the new document lodged with the CSCI. (This is a repeat from 17/03/05) Care plans must contain all information relating to health monitoring. Especially nutrition screening and weight recording. All residents must be registered with a dentist. (This is partly repeated from 17/08/05) Minor repairs must be carried out to: toilet roll holders, tiles on kitchen floor, plaster around ensuite in room 6. Bedrooms must be provided with minimum furniture stated. This must include a bed suitable for the individual. Either sufficient cleaning or replacement of the carpet must eliminate the offensive odour in room 6. Staff recruitment files must include a copy of identification DS0000024378.V252529.R01.S.doc Timescale for action 28/10/05 2 OP8 12 (1) (b) 28/10/05 3 OP19 23 (2)(b) 28/10/05 4 OP24 16 (2)(c) 28/10/05 5 OP26 13 (2) 28/10/05 6 OP29 7, 9, 19 Sched 2 28/10/05 East View Residential Home Version 5.0 Page 23 7 OP38 23(4)(a) 8 *RQN 16 (2) (a)(i) that includes a photograph. All fire precautions must be 27/09/05 maintained. This includes not wedging open fire doors with pieces of wood. The home must have appropriate 28/10/05 facilities for communication by facsimile transmission. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP18 Good Practice Recommendations Care staff should fully adopt the new care plan format chosen by the home. The manager should obtain the up to date copy of the protection of vulnerable adults policy. East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI East View Residential Home DS0000024378.V252529.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!